Individual provider · Type 1 NPI
Jacqueline Renee Coghill
Primary Care Nurse Practitioner · Eureka, CA
NPI number
1740831767
Active
Practice location
Waterfront Recovery Services, 2413 2nd St
Eureka, CA 95501
Fax (707) 445-2599
Mailing address
3126 J St
Eureka, CA 95503-5416
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 95012163 (CA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1740831767
Jacqueline Renee Coghill's National Provider Identifier is 1740831767, issued on Sep 20, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Eureka, CA. The record was last updated on Sep 20, 2019.